gammapatia monoclonal igm kappaigm kappa monoclonal gammopathyigm kappa monoclonal proteinigm kappa monoclonal band presentpic monoclonal igm kappaigm kappaigg lambda monoclonal protein detectedmonoclonal igg kappa band detectedmonoclonal gammopathy igm kappa typepic monoclonal type igm kappaigm lambda monoclonal gammopathyigm lambda monoclonal protein